基層兩癌篩查信息平臺(tái)的設(shè)計(jì)與應(yīng)用知識(shí)

工作原理和系統(tǒng)搭建 采用數(shù)據(jù)庫(kù)挖掘技術(shù)，Ｃ＃語(yǔ)言、PHP、平臺(tái)中間件接口技術(shù)和網(wǎng)絡(luò)技術(shù)等集成一體的新型的數(shù)據(jù)平臺(tái)。基層兩癌篩查區(qū)域信息平臺(tái)和醫(yī)院數(shù)據(jù)庫(kù)緊密結(jié)合，和回訪(fǎng)系統(tǒng)共享數(shù)據(jù)庫(kù)信息，通過(guò)短消息回訪(fǎng)和受檢人員建立溝通的橋梁，主要硬件設(shè)備為平臺(tái)服務(wù)器、存儲(chǔ)設(shè)備、醫(yī)生工作站計(jì)算機(jī)和短信模塊等。

The working principle and system construction adopt database mining technology, C # language, PHP, platform middleware interface technology, and network technology to integrate into a new data platform. The grassroots cancer screening regional information platform is closely integrated with the hospital database, sharing database information with the follow-up system, and establishing a communication bridge with the tested personnel through SMS follow-up. The main hardware devices include platform servers, storage devices, doctor workstation computers, and SMS modules.

通過(guò)DMZ區(qū)發(fā)布—webservice服務(wù)，通過(guò)Web Server 同數(shù)據(jù)庫(kù)進(jìn)行數(shù)據(jù)交互。通過(guò)三層交換、路由器、防火墻的設(shè)置，限定IP、端口號(hào)和MAC的訪(fǎng)問(wèn)，最大限度保證訪(fǎng)問(wèn)安全和數(shù)據(jù)安全。采用C#高級(jí)語(yǔ)言+PHP +oracle數(shù)據(jù)庫(kù)技術(shù)設(shè)計(jì)服務(wù)器端/數(shù)據(jù)模塊：從受檢人員的信息提取、錄入、報(bào)表生成、回訪(fǎng)（通過(guò)接口發(fā)送給短信平臺(tái)），整個(gè)過(guò)程均采用信息化管理模式，數(shù)據(jù)均由平臺(tái)數(shù)據(jù)模塊提供，保證不同的客戶(hù)端獲得數(shù)據(jù)的一致性。使用HTML、CSS、JS網(wǎng)站和微信web開(kāi)發(fā)者工具開(kāi)發(fā)客戶(hù)端：利用HTML、CSS、JS等動(dòng)態(tài)網(wǎng)頁(yè)開(kāi)發(fā)技術(shù)，設(shè)計(jì)一套B/S架構(gòu)的網(wǎng)站；利用微信web開(kāi)發(fā)者工具設(shè)計(jì)相關(guān)微信小程序。受檢人員通過(guò)網(wǎng)站或手機(jī)提交的數(shù)據(jù)能與平臺(tái)的數(shù)據(jù)模塊進(jìn)行無(wú)縫對(duì)接，順利完成篩查前期的電子問(wèn)卷調(diào)查流程和后期的信息查詢(xún)工作。

Publish through DMZ area - webservice service service, and interact with the database through Web Server. By setting up three-layer switches, routers, and firewalls, access to IP, port numbers, and MAC is limited to ensure maximum access security and data security. Design a server side/data module using C # high-level language+PHP+Oracle database technology: extract, input, generate reports, and return visits from the information of the inspected personnel (sent to the SMS platform through an interface). The entire process adopts an information management mode, and the data is provided by the platform data module to ensure the consistency of data obtained by different clients. Develop clients using HTML, CSS, JS websites, and WeChat web developer tools: Design a B/S architecture website using dynamic web page development technologies such as HTML, CSS, and JS; Design relevant WeChat mini programs using WeChat web developer tools. The data submitted by the tested personnel through the website or mobile phone can be seamlessly integrated with the platform's data module, successfully completing the electronic questionnaire survey process in the early stage of screening and the information query work in the later stage.

網(wǎng)絡(luò)架構(gòu) 通過(guò)互聯(lián)網(wǎng)與主管部門(mén)、各醫(yī)療機(jī)構(gòu)和個(gè)人用戶(hù)進(jìn)行數(shù)據(jù)交互（見(jiàn)圖3），整個(gè)網(wǎng)絡(luò)呈星型網(wǎng)絡(luò)的分布特點(diǎn)。該型網(wǎng)絡(luò)故障排除較容易，也接入新的節(jié)點(diǎn)較為方便，但根據(jù)星性網(wǎng)絡(luò)中心節(jié)點(diǎn)的特點(diǎn)，對(duì)平臺(tái)的性能、安全性和可靠性有較高的要求，故在平臺(tái)建設(shè)時(shí)應(yīng)充分考慮到這幾點(diǎn)要求。

The network architecture interacts with regulatory authorities, medical institutions, and individual users through the internet (see Figure 3), and the entire network exhibits a star shaped network distribution. This type of network has easy troubleshooting and is more convenient to connect to new nodes. However, according to the characteristics of the central node of the satellite network, there are high requirements for the performance, security, and reliability of the platform. Therefore, these requirements should be fully considered during platform construction.

創(chuàng)新性設(shè)計(jì) 通過(guò)前期大量調(diào)研和在實(shí)踐中反復(fù)調(diào)試，項(xiàng)目貼合基層一線(xiàn)工作人員的使用需求，具有較強(qiáng)的實(shí)用性，較大地提高工作效率；并能建立受檢人員相關(guān)的兩癌篩查健康檔案，方便醫(yī)護(hù)人員實(shí)時(shí)掌握“兩癌”的發(fā)病動(dòng)態(tài)和分布，有效提高管理者的管理水平和精細(xì)化程度；并且有效地減少受檢人員檢查等待時(shí)間，受到患者歡迎。

Innovative design, through extensive research in the early stages and repeated debugging in practice, conforms to the needs of frontline workers at the grassroots level, has strong practicality, and greatly improves work efficiency; And can establish health records related to the screening of two cancers for the tested personnel, facilitating medical staff to grasp the real-time incidence and distribution of "two cancers", effectively improving the management level and refinement level of managers; And it effectively reduces the waiting time for testing personnel, which is welcomed by patients.

圍繞建立基層兩癌篩查區(qū)域信息平臺(tái)，優(yōu)化冗余流程，提高醫(yī)護(hù)人員工作效率，以及為決策和科研部門(mén)提供了大量的數(shù)據(jù)支持。通過(guò)比較分析，建立基層兩癌篩查區(qū)域信息平臺(tái)后，前期問(wèn)卷調(diào)查采用數(shù)據(jù)結(jié)構(gòu)化的方式，使得填報(bào)信息的差錯(cuò)率和缺項(xiàng)率明顯降低；每位受檢人員在院檢查等待時(shí)間縮短20分鐘以上，明顯減輕了醫(yī)務(wù)人員的工作量；且使得回訪(fǎng)覆蓋率有據(jù)可查，可保證達(dá)80%以上；并能提供各類(lèi)數(shù)據(jù)報(bào)表，大大縮短查閱各類(lèi)檔案的時(shí)間，提高了管理水平。

Focusing on establishing a grassroots cancer screening regional information platform, optimizing redundant processes, improving the work efficiency of medical staff, and providing a large amount of data support for decision-making and scientific research departments. Through comparative analysis, after establishing the grassroots two cancer screening regional information platforms, the preliminary questionnaire survey adopted a structured data approach, which significantly reduced the error rate and missing item rate in filling out information; The waiting time for each tested person during the hospital examination has been reduced by more than 20 minutes, significantly reducing the workload of medical personnel; And ensure that the coverage rate of follow-up visits is well documented, ensuring that it reaches over 80%; And it can provide various data reports, greatly reducing the time for accessing various archives and improving management level.

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